Question:
What is RYN surgery I thought it is gastric bypass

I Have not yet had the surgery my ins says I have to go on a weight loss program for 6 months first, which pisses me off but what can you do. I keeep reading Q&A what is RYN surgery? — hlt1960 (posted on March 4, 2008)

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March 4, 2008
It is RNY and it isthe Roux N Y gastric bypass surgery. I had to do the 6 mo thing but it went by fast. When you see lap RNY that just means it was done laporscopically (?sp) not tbe confused with the Lap-band. Hope this helps!
— juliebelle0402

March 4, 2008
All of the terms can be so confusing . The most popular weight loss surgeries are known as the DS (Duodenal Switch) and the RNY (Gastric Bypass) and the Lapband. All 3 of these surgeries may be done Open or Lap.
— SameButDifferent

March 4, 2008
RNY is gastric bypass. Not the lap band. My boyfriend had to do the 6 month diet and then he got denied so make sure it is in fact coveredunder your insurance before you do it. He called Connecticare and they told him they review each case on a case by case basis and they denied him. Told him an RN at connecticare looked at his medical records and she decided it wasnt medically necessary. he has 3 doctors telling him it is but an RN can say its not and they go by what she says.
— Joanc

March 4, 2008
RNY is just a nickname or initials that is uesd because the real term is dificult to pronounce. WLS stands for weight loss surgury so now when you see RNY WLS you know what it is. Most insurance will stall you by having you diet, unless you have a history with a doctor and the regular weigh-in that he is willing to report the result with, the 6 month trial is required. Here is the good side. There is a lot of fat on the liver wshich sits ontop of your stomach. This surgery is not done open (with a large cut down the middle of your chect) much any more. The liver has to be elevated and it is hard on a fat liver to be elevated while they cut your stonach and move it with the first third of you small intestine. The origial stomach is sewed to the chest so it will stay inplace, and a new pouch is made when the conect the send third of your small intestine to where the old stomach conected to your throut. The 1st third of you small intestine is then conected to the last third of your small intestine to carry gastric acid to food. The 1st third of you small intestine is what absorbs fat and grandulated sugar, which become fat, if you do not burn it. THis is the secret to the rapid weigh loss and the fact that you will no longer want to eat grandualated or process sugar or fat ever again in any quanity.
— William (Bill) wmil

March 4, 2008
Roux-en-y (RNY) is the weight loss surgery most insurance companies will pay for. But you have to meet any prerequisites they may have. My insurance company also insisted on a 6 month wt loss program. I had done that in 2002, so I got a letter and presented that. But, I still had to go through nutritional classes that took over 4 months. Today, my insurance company will combine the wt loss class and nutrition class together as part of the process towards RNY surgery.
— Dave Chambers

March 4, 2008
you have to do the diet thing... i got the papers from my Dr. Did the time and didnt show any loss. had the surgery. Im out 12 months and lost 248 lbs
— obx100

March 4, 2008
You can appeal your insurance decision. Do your research on line. Trust me, there are a great deal of articles out there that state a medically supervised diet does NOT work and the studies/proof is out there. I appealed to Medicaid (virtually impossible to get them to over turn a decision) but I did it! I found out the FDA (food and drug admin) & the NIH (national institue of health) both clearly state that medically supervised diets don't work. They are also putting your life in danger by making you wait etc. Your surgeon's insurance people might be able to help with an appeal and or there are lawyers on this site that can also help. Good luck and God bless!
— crystalsno

March 4, 2008
I'm sure you won't want to hear my answer, but it's true. You really need to try on your own with my insurance as well. I have Kaiser. I joined weightwatchers, and took health classes for 8 months prior to my surgery. It will be good for you to lose atleast 10% of your weight before your surgery. It will help you out a lot. Six months goes by fast. Do something now, because time is going by. Goodluck
— Cari_C

March 5, 2008
RNY is GBS. The weigh loss program is typical. Join weight watchers online (you just have to show you have made an effort in most cases). Thats what I did.
— [Deactivated Member]

March 5, 2008
remember while doing the 6 month diet first, to pretend to diet. because if the insurance company's see that your able to loose weight on your own they wont pay for your surgery . but if you maintain or don't loose any weight then your doctor will recommend and say you tried but have been unsuccessfully in loosing weight. i didn't have to go threw this because a 6 month waiting time to go on a diet., i brought medical records for 7 yrs showing i have spent thousand of dollars at weight loss clinic, such as seeing a medical doctor prescribing me diet pills and 8 yrs worth of recites from going to the gym. so i was instantly approve
— yvettetas

March 5, 2008
There are several different varieties of "bypass" surgery and Roux-en-Y (RNY) is just one of 'em. RNY is probably the most popular of the bypass surgeries and is the one most often covered by insurance companies. Note that "Lap-Band" surgery is NOT a "bypass" procedure. Also, the term "lap" is short for laproscopic surgery (not short for "Lap-Band"). Laproscopic surgery is less invasive (for RNY, Lap-Band, or enything else, e.g., gall bladder removal) because the surgeon(s) use instruments that enter the abdomen through small punctures in the abdominal wall. With "open" surgery, they literally zip you open with a scalpel and close you up with sutures and/or staples. Since it is more invasive, "open" surgery usually means more post-surgery PAIN a longer recovery period in the hospital. Some bariatric surgeons may not be trained or experienced in laproscopic techniques and will want to always do open surgery, even if its not medically necessary for the patient (sometimes it IS necessary). I'd try to avoid these surgeons if possible. [[ ;-) If you're sitting down as you read this, that's another "lap", not to be confused with those described above. ;-) And the Lap-Band procedure was not invented in Lapland. ;-) ]]
— [Deactivated Member]

March 5, 2008
I had the RNY on 10/22 and have lost 78 pounds so far. I have Humana insurance and they required a six month doctor supervised diet. The doctor has to document your weight and exercise each visit. I simply maintained and did not loose but I did not gain either. I also had to have a Psych evaluation. I had to get copies of 5 years of my medical records from my PCP along with a letter of recommendation. I actually did the letter myself and he had his stafff put it on their letter head. I was approved in 3 days. My weight was 251 but i had co-mrbidities. The time will give you a chance to attend different seminars. I went to two seminars within a 50 mile radius of my home but I chose Dr. Houston at Centennial in Nashville, TN. He was out of my network, 2 1/2 hours away, but when I heard him speak I knew he was for me. Dr. Houston chose Bariatrics as his medical career and that is all he does. He also had advanced laparoscopic training at Vanderbilt. (I did my homework) He was very up front with everything. i went in with plans of the Lap Band but after taking to him an my eating habits I changed my mind to the RNY. It's the best thing I could have done for myself. My journey so far has been amazing. I have meet so many bariatric patients that are now my good friends. That is my story. I hope everythnig goes good for you. Carefully choose your doctor, you will be with him for a longitme.
— t_roxus

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